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Home My WebLink About8-2-008:052IU.S.DEPARIAENTOFHOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal•Emergency Management Agency Expires February 28, 2009 National Fieod Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use Al.. l Building owners Name Kenneth C and Dale H SUaal Policy Number A4. A5. A6. AT A8. Captain Cook, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Hawaii 3/ Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Resldentlal Latitude/Longitude: Lat. N 19 28' 07.72973" Long. W 15 54'47-03742" Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. Building Diagram Number 1 For a buildingwith a crawl 96704 -Horizontal Datum: U NAD 1927- ❑I NAD 1983 space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) n/a sq fl a) Square footage of attached garage n/a sq it b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade . walls within 1.0 foot above adjacent grade C) Total net area of flood openings In A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP 1FIRMI INFORMATlnnr 64. Map/Panel Number B5. Suffix no. FIRM Index B7. FIRM Panel 88. Flood 89. Base Flood Elevation(s) (Zone 1156 C Date Effective/Revised Date Zones) AO, use base flood depth) 04/02/2004 09/16/1988 AE 153 B10. Indicate the source of the Ree. Fio„d cre„tea,.., rare, ._._ __ _ , . .. .. .. yu• mnrncu m ntlra e9. EJ FIS Profile QFIRM E]Commun'ry Determined QOther (Describe) B11. Indicate elevation datum used for BFE in Item B9: Q NGVD 1929 QNAVD 1988 ❑Other (Describe) B12. Is the building located in a Coastal Barter Resources System (CBRS) arear lherwise Protected Area (OPA)? Yes Q Designation Date QCBRS "OPA No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) ..1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under construction' Q Finished Construction ' 'A new Elevation Certificate will be required when construction of the building is complete. -2. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized Vertical Datum MP_an Sea I Reel Conversion/Comments n/a Check the measurement used. a) Top of bottom floor (Including basement, crawl space, or enclosure floor)1$9. Q feet Elmeters(Puerto Rico only) b) Top of the next higher floor 168.00 � feet ❑ meters (Puerto Rico only) C) Bottom of the lowest horizontal structural member (V Zones only) feet ❑meters (Puerto Rico only) d) Attached garage (top of slab) 158.86 7 feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 158.an Mfeet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) _15 4 V feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) _158.6 nfeet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. SPL T. Y,A Q Check here if comments are provided on back of form. �y _ Certifiers Name Chrystal T. Yamasaki License Number LS -4331 Title Name ,Wes Thomas Associates Company Wes Thomas Associates 75-5749 Kalawa Street `'ry Kailua-Kona state Hawaii ZIP Code 96740 DFebruary 11, 20Talgppnone (808) 329-2353 4331 , 2008 Form 81-31, February 2006 See reverse side for continuation. _ Replaces all previous AN',: the State from Section A. Place For Insurance Company Use: SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Unit on the South side of the dwell February 11, 2008 BUILDING ELEVATION IN MION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE1 For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. Et. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (Including basement, crawl space, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or 1:1 below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure Is ❑ ❑ ❑ below the LAG. _ ❑ feet meters above or E2. For Building Diagrams 6-8 with permanent flood openings provided in SectigO� Items 8 nd/or9 (see a e 8 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building is _ ❑teat LJ meters a❑ above or �trelow the HAG. E3. Attached garage (top of slab) is _ ❑ feel ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building B _ ❑ feel ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated In accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The stafements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name ZIP SECTION G - COMMUNITY INFORMATION (OPTIONAL) he local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), A G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. 1. ❑ The information in Section C was taken from. other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) 2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone A0. 3. ❑ The following Information (Items G4. -G9.) is provided for community floodplain management purposes. lNumbw G5. G6. Date I 7. This permit has been issued for: ❑New Construction ❑Substantial Improvement S. Elevation of as-bulft lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum 3. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum -owl Official's Name Title :ommunity Name Telephone signature ne,e ❑ Check 1--- If ata mems =MA Form 8131, February 2006 Replaces all previous editions